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Massachusetts rates for HCPCS 42335

Sialolithotomy Submndblr Submax Comp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.62 / $2,618.00 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.53 / $344.16 / $560.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $2,000.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.39 / $702.74 / $3,092.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.75 / $408.31 / $728.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $521.08 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.70 / $648.02 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.08 / $567.91 / $1,180.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.47 / $579.38 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.93 / $645.11 / $924.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.08 / $730.35 / $1,171.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,000.00 / $5,454.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.09 / $1,018.25 / $3,092.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,854.00 / $5,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.27 / $593.54 / $1,422.06